Lusk, Debra Jann
Lusk, Debra Jann is an individual health care provider with primary practice located at 6260 Delaware St , Beaumont TX 77706-7602. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Lusk, Debra Jann can be contacted via phone (409) 899-1538.Contact Information
Primary practice address
6260 Delaware St
Beaumont TX 77706-7602
Phone: (409) 899-1538
Fax: (409) 899-2120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 1347 | Texas |
Profile Details
| NPI number | 1851396139 |
|---|---|
| LBN Legal business name | Lusk, Debra Jann |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Jan 10th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851396139 | NPPES |
| Texas | MEDICAID | 041086202 |
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